State of the art: psychotherapeutic interventions targeting the psychological factors involved in IBD.

Abstract:

:The present article aims to review the literature on the relationship between psychology and inflammatory bowel disease (IBD). In particular, the first section is dedicated to explore the role of psychological factors in the etiopathology of the disease, its development and the efficacy of treatments, while the second analyzes existing literature on the role of psychological interventions in the care of IBD patients. Although the role of psychological factors in IBD appears controversial, literature seems to distinguish between antecedents of the disease (stress and lifestyle behavior), potential mediators of disease course (family functioning, attachment style, coping strategies, and illness perception), outcomes of IBD and concurrent factors (anxiety, depression and quality of life). Four types of psychological interventions are described: Stress management, Psychodynamic, Cognitive behavioral and Hypnosis based. Data on the role and efficacy of psychological interventions in IBD patients show little evidence both on reduction of the disease activity and benefits on psychological variables. Psychological interventions seem to be beneficial in the short term especially for adolescents. The importance of considering the connections between psychology and IBD from a broader perspective reflecting the complexity of the phenomenon at multiple levels is discussed.

journal_name

Curr Drug Targets

journal_title

Current drug targets

authors

Leone D,Menichetti J,Fiorino G,Vegni E

doi

10.2174/1389450115666140627151702

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

1020-9

issue

11

eissn

1389-4501

issn

1873-5592

pii

CDT-EPUB-61148

journal_volume

15

pub_type

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